AUDRA COSTON

GRAND PRAIRIE, TX
NPI1962012146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  AP146041)
Enumeration Date2020-08-03
Last Update Date2020-11-03
Business Address
AUDRA COSTON PMHNP
1171 107TH ST
GRAND PRAIRIE, TX 75050-2502
Phone number: 972-597-0843
Mailing Address
AUDRA COSTON PMHNP
1171 107TH ST
GRAND PRAIRIE, TX 75050-2502
Phone number: 972-597-0843
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